Evidence map›Paper›PMID 32002447›Full record

ArticleJournal of patient-centered research and reviews2020

Enhancing Immunization Rates in Two Urban Academic Primary Care Clinics: A Before and After Assessment.

Zeeshan Yacoob, Christopher Cook, Fabiana Kotovicz, Jessica J F Kram, Marianne Klumph, Marisa Stanley, Paul Hunter, Dennis J Baumgardner

Open access · diamondAbstract read
In one paragraph

Article in Journal of patient-centered research and reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Improving primary health care quality for refugees and asylum seekers: A systematic review of interventional approaches.Health expectations : an international journal of public participation in health care and health policy · 2022
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Zeeshan YacoobUniversity of Wisconsin School of Medicine and Public Health, Madison, WI.
Christopher CookDepartment of Family Medicine, Aurora UW Medical Group, Aurora Health Care, Milwaukee, WI.
Fabiana KotoviczUniversity of Wisconsin School of Medicine and Public Health, Madison, WI.
Jessica J F KramUniversity of Wisconsin School of Medicine and Public Health, Madison, WI.
Marianne KlumphDepartment of Family Medicine, Aurora UW Medical Group, Aurora Health Care, Milwaukee, WI.
Marisa StanleyEau Claire City-County Health Department, Eau Claire, WI.
Paul HunterUniversity of Wisconsin School of Medicine and Public Health, Madison, WI.
Dennis J BaumgardnerUniversity of Wisconsin School of Medicine and Public Health, Madison, WI.
Aurora Health Care · USUniversity of Wisconsin–Eau Claire · USUniversity of Wisconsin–Madison · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeImmunization rates in many cities in the United States remain suboptimal compared to Healthy People 2020 Goals and are lower than national averages. This study aimed to determine whether a lecture-based educational intervention targeted at nurses and medical assistants would improve vaccination rates.

methodsWe conducted a quality improvement study in two urban academic family medicine clinics serving a predominantly Medicaid patient population as well as a sizable proportion of refugees. The intervention consisted of 3 lectures that were delivered to clinic nurses and medical assistants. Vaccinations in 1689 patients - 872 in the 3-month preintervention period, 817 in the 3-month postintervention period - were analyzed.

resultsFollowing the educational intervention, a statistically significant increase was seen only in human papillomavirus vaccine immunization rates for 13-18-year-olds (from 90.7% [n=54] to 100% [n=45]; P=0.036). When the results were stratified by clinic, only 1 site showed statistically significant increases in: pneumococcal polysaccharide vaccine (23-valent) for high-risk 19-to-64-year-olds (from 36.4% [n=154] to 47.8% [n=136]; P=0.049);

conclusionsUltimately, this quality improvement study demonstrated that educational interventions alone have a limited impact on increasing immunization rates.

Indexed as

educationprimary health carequality improvementrefugeesvaccination

Identifiers

PMID32002447
PMCPMC6988711
OpenAlexW3152843332

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.